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,.., ll�002/002 <br /> OA,TE REG41'JEt} ,SAN JOkQLz1Y COUNTY LnD <br /> R1L� JE <br /> LSD <br /> E-61P,ONNIEMT:�.T,,REALTu DE.PARTI411�.NT <br /> 304 E Weber Ave a" Floor Stockton, CA 95205 1 6 <br /> (209) 468-3420 Fax: (209) 464-0135 Web: wNvr,Y.co,san joac�ttin.c2-us/chd VI TH <br /> PUBLIC RECORDS RELEASE ,�-VPLICATID I PERMIT/SERVICES <br /> APPUCANT: ` if - ��`�-U�.BUSINESS!AGENCY:,_„__,..,',LL <br /> 'WORESS:—12 <br /> � � FACSIMILE: <br /> PHONE: L~ , <br /> TENTATIVE'APPOINTMENT DATE: /`V . ,._rr'c= f - <br /> Ficase ailow 10 bttsine:s' from date of application subrnirtzn �/ C <br /> 13 CHECK BOX TO EXPEDiTE REQUES�-531.00 PEE REQU ST PROCESSEd 1N 7 SUS)NESS DAYS <br /> r <br /> SIGNATURE OF APPLICANT DATE <br /> Qpoanment Use:Only <br /> FILE ADDRESS Uteri <br /> t- Unit 2 <br /> ,_—.`" y p,� ..I 1 L.1 ...(r`\ C•• •1,� <br /> T. <br /> 1 1. t•� 1 CCaT' 1 .. �k P <br /> Unit 5 <br /> n <br /> 1Q. $1md Gtv <br /> NVlR6NMENTAI_HEAL H DIAP'AR1'MEINFILES <br /> int UNDERGROUND TANK(UST)CLEANUP SrTE(LOP) 0 HOU51NG A$A:MMEN7 <br /> 51-SOLiD WA;TE FAC1'rTY <br /> @5 oTt-iER GLEMUP SFrE(NON-LOP) C1 FOOD FACiLrTi' t7 SC1�10 wAST�VEHICLE <br /> �• UNDERGROUND TANK(MONITORING/REMOVAL) CI DOG KENNEL R-DAIRY <br /> M. t;A AgDQUS wAa E GENERATOR D CHICKEN RANCH O-PKG TREATNIGNT PLANT <br /> o TtBRED PEf>,4r t-o FACILfTY 0 MOTEUHOTEL G Pumpe TRUCK/YARWCHEhi TOILETS <br /> 0 TA'i OA300Y PIERCING 0 POOL/S,PA a LAND USE APPLICAMN SITE$ <br /> L MEDK'1*L WASTE FACILITY 0 OTHER(PLEA5E SPEGiFf) <br /> t.ist up to ten addresses in the space above. Select tlic type(s) of Tics from the list above by checking <br /> the appropriate box(az). At least one rile type MUST be selectad. Fax to 2�) d6d-0138 ar mtil to the <br /> address indicated above. <br /> END will notify the applicant if any EHD files exist k) appointment for review will be. confirmed <br /> approximately fivt: buSinPas days but no later than ten (10) days after receipt of application. The fife's <br /> will be field for a maximum of five business days for review. Appointments should be scheduled <br /> accordingly. <br /> 3, A file that is actively being workeci on by EHD staff may not be immediately available fur review. Anew <br /> application may be submitted whan the file is available. <br /> 4, Any rile not returned in the: same condition as released will be reorganized by EHD $tarf at the expense <br /> of the applicant, Future file reviews by the same applicant may require a 593.00 deposit prior to review- <br /> S, 'TENTATIVE appointment dates must be contirmed with EHD staff. <br /> 6. Applicatios received after 3:00 pm will be processed the next buaincss day <br /> n . <br /> ;..0 Q N FIRMi3 <br /> APPOINTMENT <br /> � �oar�•...,. .. ,••� IhtE .x:_. ;,':�• <br /> 1INIl x ,1:5 <br /> DATE•CUNFIRMED ; P)inNc FAX <br /> RE4'IGVr'[G Yrs h1G RC`J11=1Y D��fE _ _ <br />